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Nursing homeFAID #14373

Towers Nursing Home

372 HILL ROAD, SMITHVILLE, TX, 78957
(512) 237-4606
120 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · Towers Nursing Home
What we can show you for free.
Bed capacity
120
CMS facility ID
675942
Care type
Nursing home
County
Bastrop
Facility name
Towers Nursing Home
Street address
372 HILL ROAD
City / state / ZIP
Smithville, TX 78957
Phone
(512) 237-4606

Towers Nursing Home is a Medicare/Medicaid-certified skilled nursing facility in Smithville, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Smithville and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Towers Nursing Home 18 times across 11 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $15,239 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Wellsential Health
Ownership type
Non profit - Corporation

Registered owners & officers

Smithville Hospital Authority
Direct owner · Operational control · Additional disclosable party — 100% stake — since 2016
Baird, Daniel
Governing body — since 2021
Bunte, Mark
Governing body — since 2020
Chudleigh, James
Additional disclosable party — since 2025
Clapp, Barbara
Governing body — since 2021
Cortese, Daren
Governing body — since 2021
Csv Rhea Management Holdco, Llc
Indirect owner — since 2016
Dekowski, Donovan
Operational control · Additional disclosable party — since 2016
Dwd Tx Holdings Llc
Indirect owner — since 2016
Fulcher, Ann
Governing body — since 2015
Gibson, Patricia
Governing body — since 2021
Gray, Cole
Operational control · Additional disclosable party — since 2025
Jack and Nancy Dwyer Workforce Development Center Inc
Indirect owner — since 2016
Mandelbaum, Elliot
Governing body — since 2025
Migl, Gina
Additional disclosable party — since 2025
Ognowski, Dustin
Additional disclosable party — since 2025
Reg Bridge Opco Llc
Indirect owner — since 2016
Reg Hg Opco Llc
Indirect owner — since 2016
Reg Operator Holdco Llc
Indirect owner — since 2016
Regency Ihs Clinical Consulting, Llc
Additional disclosable party — since 2016
Regency Ihs of Smithville Towers Llc
Direct owner · Operational control · Additional disclosable party — since 2016
Regency Ihs Rehab Llc
Additional disclosable party — since 2016
Regency Integrated Health Services Llc
Indirect owner · Operational control · Additional disclosable party — since 2016
Regency Texas Holdings Llc
Indirect owner — since 2016
Wilson, Linda
Governing body · Officer — since 2023

Regulatory standing

Licensed / certified since
2002-12-17
CMS overall rating
4 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
$15,239 total
Last standard inspection
2025-07-31
Nurse staffing
2.6 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$277 per day (≈ $8,420/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
56% Medicaid · 8% Medicare · 36% private/other
Occupancy
96% (fiscal year 2024)
Vs. state median
right at the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-06-11Health inspectionComplaint-triggered2 citations
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-06-19
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-19
2026-04-01Health inspectionComplaint-triggered2 citations
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-04-08
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-04-08
6 earlier / fire-safety inspections (14 citations)
2026-01-29Health inspectionComplaint-triggered1 citation
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-30
2025-07-31Health inspection3 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-08-01
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-01
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-01
2024-08-20Health inspectionComplaint-triggered1 citation
F-0760
K · Immediate jeopardyFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-08-09
2024-06-06Health inspection7 citations
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-06-07
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-07
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-07
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-06-07
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-07
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-07
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-06-07
2023-08-03Health inspectionComplaint-triggered1 citation
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-08-04
2025-07-31Fire-safety inspection1 citation
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-08

Federal penalties

2024-08-20Fine$15,239
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675942.
What people say on Google.
4.388 ratings on Google
★★★★★Cindy Aarvig · 2026-03-03 · via Google

“Our journey with Towers began a few years ago when my mother was admitted to their short-term care services after experiencing a sharp and sudden health decline. From day one, the staff and health professionals went above and beyond to monitor her ever-evolving needs and provide for her changing levels of care, including a short-term transfer to a specialist facility and eventual transfer to long-…”

★★★★Disco Taz · 2026-06-12 · via Google

“The only reason I gave 4 stars is because of understaffing, which I know is common. However, the staff here are SO great, my mom loves them (therefore, so do I).”

★★★★★A G · 2025-04-28 · via Google

“My great grandmother chose to live at towers, she also chose towers for her husband and other family members before that. Her room was always clean, people were constantly checking on her, and most importantly she loved the people there. Sadly sometimes disgruntled employees leave and have their friends leave terrible reviews about the place they once loved. Google really should verify that a per…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 18 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered